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Description

The Neonatal PICC Insertion Training course is designed to train the nurse or physician for the insertion of PICCs in the neonatal population. The program includes videos of actual insertions of PICCs with neonates. While general for all neonates patients, specific class information includes:

Definitions, indications and contraindications
Anatomy of veins, arteries, valves and site selection
Ultrasound use with neonates
Infection prevention
Confirmation and management of malpositioning
Common insertion and post insertion complications
Care and maintenance with catheter removal

The examples and actual practice issues discussed by the instructor give the clinician a better understanding of PICC procedures in an effort to increase success rates. Overall, this is a clinically based class allowing clinicians to become qualified to begin inserting Pediatric PICCs, under supervision. There is no specific required number of supervised insertions; we recommend a minimum of five. Perform as many supervised insertions as necessary until the inserter and the supervisor feel comfortable with the inserter`s abilities. The program consists of divided sections, review questions and a post test. Practicum competencies are included in the resource area with the written manual. You will need a preceptor or supervisor to check off your insertion competency.

Objectives

Upon completion of this course the learner will be able to:

1. List the advantages and disadvantages of PICC placement
2. State the indications and contraindications for PICC placement
3. Review major anatomical features of veins
4. Describe the main and alternate veins utilized for insertion of catheters with infants and neonates
5. State considerations for patient selection and parental involvement
6. Describe the proper measurement procedures for all possible insertion sites
7. Describe ways to reduce trauma in neonates requiring vascular access
8. List the steps of the PICC insertion procedure as related to neonates
9. Describe the procedures for managing catheter malpositioning
10. Explain neonatal care and maintenance procedures acceptable for us with PICC´s including flushing and dressing changes
11. Recognize potential complications associated with the use of PICC´s
12. Explain how to remove a PICC

Nancy Moureau is an internationally recognized speaker and expert in the field of peripherally inserted central catheters (PICCs) and vascular access. She began her nursing practice in 1981, received her certification as an 9ntravenous specialist since 1987 and currently serves as a professional registered nurse of the PICC/IV team at Greenville Memorial Hospital in Greenville, South Carolina. As the owner and CEO of PICC Excellence, Ms. Moureau functions as an educational consultant, working with program development, project management, advisory boards and speakers' bureaus to share information about vascular access.

As a well-published author, Ms. Moureau is constantly involved with research and literature analysis, providing information and interpretation for individuals, manufacturers, hospitals and groups. She is a speaker and expert throughout the United States and abroad on subjects specific to PICCs, ultrasound, central lines and general vascular access. She began her PICC insertion training at MD Anderson Cancer Hospital in Houston, Texas. She later studied at Gemelli Catholic Hospital in Rome, Italy, Royal Berkshire Trust Hospital in Reading, England, and Gartnavel Royal Hospital - National Health Trust in Glasgow, Scotland, for central venous catheter insertion training. Her training at these facilities included PICC, internal jugular, tunneled catheter, xillary and port insertions.

Most recently, Ms. Moureau chaired the International Consensus Forum for the World Congress of Vascular Access (WoCoVA) Standard Minimal Requirements for Central Venous Access Devices. An adjunct associate professor at Griffith University in Brisbane, Australia, Nancy is involved with research through the One Million Global (OMG) Prevalence study and a member of the Alliance for Vascular Access Teaching and Research (AVATAR). She can be reached for questions at nancy@piccexcellence.com.

Current Accreditations

This course has been certified by or provided by the following Certified Organization/s: